Treatment success for patients with tuberculosis receiving care in areas severely affected by Hurricane Matthew - Haiti, 2016

On October 4, 2016, Hurricane Matthew struck southwest Haiti as a category 4 storm. The goal of this study was to evaluate the impact of the hurricane on tuberculosis (TB) services and patient outcomes in the three severely affected departments-Sud, Grand'Anse, and Nippes-of southwest Haiti. We...

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Bibliographic Details
Published in:PloS one 2021-03, Vol.16 (3), p.e0247750-e0247750
Main Authors: Charles, Macarthur, Richard, Milo, Reichler, Mary R, Koama, Jean Baptiste, Morose, Willy, Fitter, David L
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
AIDS
Antiretroviral drugs
Biology and Life Sciences
Clinical outcomes
Demographics
Demography
Disease control
Disease prevention
Drug resistance
Drug therapy
Earth Sciences
Editing
Electronic surveillance
Health care facilities
Health facilities
Hepatitis
HIV
Human immunodeficiency virus
Hurricanes
Immunization
Medical diagnosis
Medical treatment
Medicine and Health Sciences
Municipalities
Patient outcomes
Patients
People and places
Physiological aspects
Population
Prevention
Program evaluation
Public health
Regression analysis
Sputum
Subdivisions
Success
Tropical diseases
Tuberculosis
Viruses
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Summary:On October 4, 2016, Hurricane Matthew struck southwest Haiti as a category 4 storm. The goal of this study was to evaluate the impact of the hurricane on tuberculosis (TB) services and patient outcomes in the three severely affected departments-Sud, Grand'Anse, and Nippes-of southwest Haiti. We developed a standard questionnaire to assess a convenience sample of health facilities in the affected areas, a patient tracking form, and a line list for tracking all patients with drug-susceptible TB registered in care six months before the hurricane. We analyzed data from the national TB electronic surveillance system to determine outcomes for all patients receiving anti-TB treatment in the affected areas. We used logistic regression analysis to determine factors associated with treatment success. Of the 66 health facilities in the three affected departments, we assessed 31, accounting for 536 (45.7%) of 1,174 TB patients registered in care when Hurricane Matthew made landfall in Haiti. Three (9.7%) health facilities sustained moderate to severe damage, whereas 18 (58.1%) were closed for
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0247750